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Table 5 Frequencies of SPICT-DE™ patient-centred PC measures at initial assessment and follow-up

From: Structured implementation of the Supportive and Palliative Care Indicators Tool in general practice – A prospective interventional study with follow-up

Patient-centred PC measures according to the SPICT-DE™

Deemed suitable at initial assessment with the SPICT-DE™ (n = 580)

Actually initiated at follow-up (n = 400)*

 

n

%

n

%

Review current treatment and medication to ensure the person receives optimal care; minimise polypharmacy

Yes

408

70.3

312

78.0

No

172

29.7

88

22.0

Consider specialist assessment or referral to specialist PC team if symptoms or problems are complex and difficult to manage

Yes

170

29.3

82

20.5

No

410

70.7

318

79.5

Agree a current and future care plan with the person and their family

Yes

408

70.3

220

55.0

No

172

29.7

180

45.0

Clarify the need for support of family carers

Yes

263

45.3

89

22.3

No

317

54.7

311

77.8

Early initiation of advance care planning if loss of decision-making capacity is likely

Yes

236

40.7

88

22.0

No

344

59.3

312

78.0

Record, communicate and coordinate the care plan

Yes

261

45.0

153

38.3

No

319

55.0

247

61.8

Other

Yes

12

2.1

12

3.0

No

568

97.9

388

97.0

  1. *Missing data: n = 12. PC Palliative care